Comparing patients’ and physiotherapists’ views of professionalism and professional standing: an Australian perspective

Cooper, Ian; Delany, Clare; Jenkins, Susan

doi:10.1080/10833196.2016.1213975

Cited by 4 publications

(2 citation statements)

References 38 publications

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“…Hence, the therapists can modify the patient’s expectations strongly by first, being aware of the areas where these differences in perspectives exist. Studies suggest that with further training, experience and learning from open-minded clinical encounter’s divergent areas can be identified and managed 67 68. Second, change in physiotherapists’ beliefs, enhanced communication and strides aimed at patient conviction can contribute to modifying patients’ expectations 69…”

Section: Discussionmentioning

confidence: 99%

Patients’ and physiotherapists’ perspectives on implementing a tailored stratified treatment approach for low back pain in Nigeria: a qualitative study

et al. 2022

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BackgroundStratified care has the potential to be efficient in addressing the physical and psychosocial components of low back pain (LBP) and optimise treatment outcomes essential in low-income countries. This study aimed to investigate the perceptions of physiotherapists and patients in Nigeria towards stratified care for the treatment of LBP, exploring barriers and enablers to implementation.MethodsA qualitative design with semistructured individual telephone interviews for physiotherapists and patients with LBP comprising research evidence and information on stratified care was adopted. Preceding the interviews, patients completed the Subgroups for Targeted Treatment tool. The interviews were recorded, transcribed and analysed following grounded theory methodology.ResultsTwelve physiotherapists and 13 patients with LBP participated in the study (11 female, mean age 42.8 (SD 11.47) years). Seven key categories emerged: recognising the need for change, acceptance of innovation, resistance to change, adapting practice, patient’s learning journey, trusting the therapist and needing conviction. Physiotherapists perceived stratified care to be a familiar approach based on their background training. The prevalent treatment tradition and the patient expectations were seen as major barriers to implementation of stratified care by the physiotherapists. Patients see themselves as more informed than therapists realise, yet they need conviction through communication and education to cooperate with their therapist using this approach. Viable facilitators were also identified as patients’ trust in the physiotherapist and adaptations in terms of training and modification of the approach to enhance its use.ConclusionKey barriers identified are the patients’ treatment expectations and physiotherapists’ adherence to the tradition of practice. Physiotherapists might facilitate implementation of the stratified care by communication, hierarchical implementation and utilisation of patients’ trust. Possibilities to develop a consensus on key strategies to overcome barriers and on utilisation of facilitators should be tested in future research.

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Section: Discussionmentioning

confidence: 99%

Patients’ and physiotherapists’ perspectives on implementing a tailored stratified treatment approach for low back pain in Nigeria: a qualitative study

et al. 2022

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“…It is well established that the strength of the therapeutic alliance is a predictor of health outcomes (Graves et al, ). In general, physiotherapists are viewed as having a good rapport with patients (Cooper, Delany, & Jenkins, ); however, weight is a particularly sensitive and complex issue and is not value neutral (Casazza et al, ). The attitudes, knowledge and language used by healthcare practitioners can inadvertently stigmatize patients (Puhl & Heuer, ; Setchell, Watson, Gard, & Jones, ) at the detriment of the therapeutic alliance (Puhl & Heuer, ).…”

Section: Discussionmentioning

confidence: 99%

A qualitative study exploring the views of individuals with knee osteoarthritis on the role of physiotherapists in weight management: A complex issue requiring a sophisticated skill set

Allison

Delany

Setchell

et al. 2019

Musculoskeletal Care

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Objectives The aim of the present study was to explore the attitudes of individuals with knee osteoarthritis (OA) towards the role of physiotherapists in weight management in knee OA. Methods The study took the form of a qualitative semi‐structured telephone interview study. Participants included 13 purposively sampled individuals with symptomatic knee OA who were overweight or obese by body mass index. Each participated in a semi‐structured telephone interview exploring their perspectives regarding the potential role of physiotherapists in weight management in knee OA. Data were transcribed and analysed using a thematic approach. Results Three main themes were identified, which highlighted that individuals with knee OA: (a) recognize that weight management is complex; (b) consider that a special skill set is required by clinicians for weight management; and (c) expressed ambivalence towards physiotherapists' role in weight management, with a focus on the role of exercise prescription. Conclusions Although participants were open to physiotherapists taking on a weight management role within a multidisciplinary team, they were uncertain about whether physiotherapists had the skills and scope of practice needed to address this complex issue. The findings highlight the importance of engagement by physiotherapists in meaningful dialogue with patients, to understand better their experiences, expectations and preferences, and establish if, when and how to integrate patients in weight management discussions in the treatment plan for their knee OA.

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An argument for competency-based training in pelvic floor physiotherapy practice

Frawley

Neumann

Delany

2018

Physiotherapy Theory and Practice

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Pelvic floor dysfunction has been described as "a silent epidemic," affecting many people in the community yet under-recognized and insufficiently managed. There is evidence that pelvic floor physiotherapy can manage many of these disorders, however a competency framework to guide and inform pelvic floor physiotherapy training and practice is lacking. The assessment and management of the pelvic floor complex is not addressed as a core component of most entry-to-practice physiotherapy programs despite being within the scope of physiotherapy practice which is in contrast with the knowledge and skills that physiotherapists graduate with in core areas of clinical practice. This results in a registration-competency gap, and the need for post-graduation training to ensure clinicians are appropriately skilled to practice safely and effectively in this area. In addition, there are potential ethical and legal issues unique to this area of physiotherapy practice to be considered. We use a series of clinical scenarios to highlight the domains of knowledge, skills and communication required for practice in this area, based on our experience in Australia. We propose a framework for the future which defines competence in pelvic floor physiotherapy to provide clarity to clinicians about their clinical, ethical and legal obligations to the public, our referrers and third-party payers.

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Comparing patients’ and physiotherapists’ views of professionalism and professional standing: an Australian perspective

Cited by 4 publications

References 38 publications

Patients’ and physiotherapists’ perspectives on implementing a tailored stratified treatment approach for low back pain in Nigeria: a qualitative study

Patients’ and physiotherapists’ perspectives on implementing a tailored stratified treatment approach for low back pain in Nigeria: a qualitative study

A qualitative study exploring the views of individuals with knee osteoarthritis on the role of physiotherapists in weight management: A complex issue requiring a sophisticated skill set

An argument for competency-based training in pelvic floor physiotherapy practice

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